Active NPIIndividual providerSole proprietor

Dr. Kwang Jun Kim, MD

Hospitalist in Bloomington, Indiana

NPI Number1922573831
Practice location
2651 E Discovery Pkwy, Bloomington, IN 47408-9059
Fax
812-676-4106
Last updated
April 17, 2024

Kwang Jun Kim is a Hospitalist based in Bloomington, IN. Kwang Jun Kim practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for Kwang Jun Kim is 1922573831 and holds a License No. 036169725 (IL). The current practice location address for Kwang Jun Kim is 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 and can be reached out via phone at 812-676-4102 and via fax at 812-676-4106.

Provider Profile Details

NPI Number
1922573831
Provider Name
Kwang Jun Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2651 E Discovery Pkwy, Bloomington, IN 47408-9059
Phone Number
812-676-4102
Fax Number
812-676-4106
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 6, 2018
Last Update Date
April 17, 2024
Certification Date
April 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
State
Indiana
Zip
47408-9059
Phone Number
812-676-4102
Fax Number
812-676-4106
Bloomington, IN 47408Get directions →

Provider Business Mailing Address Details

Address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
City
Indianapolis
State
IN
Zip
46219-4959

License Information

License Number (1)
036169725
License State (1)
IL
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
01088323A
License State (2)
IN
Taxonomy (2)
Hospitalist · 208M00000X · Primary
License Number (3)
01088323A
License State (3)
IN
Taxonomy (3)
Family Medicine · 207Q00000X
License Number (4)
21120
License State (4)
PR
Taxonomy (4)
General Practice · 208D00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kwang Jun Kim, MD?

The NPI number of Dr. Kwang Jun Kim, MD is 1922573831. It was assigned on October 6, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Kwang Jun Kim, MD?

Dr. Kwang Jun Kim, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in IL under license number 036169725.

Where does Dr. Kwang Jun Kim, MD practice?

The practice location is 2651 E Discovery Pkwy, Bloomington, IN 47408-9059. The office can be reached at 812-676-4102 (phone) or 812-676-4106 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922573831 directly on the NPPES registry website.

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